Common use of POWER Account Roll Over Clause in Contracts

POWER Account Roll Over. Where a member has funds remaining at the end of the calendar year benefit period, some of the funds remaining in the member’s POWER Account may be rolled over into the next calendar year benefit period for purposes of reducing the member’s required HIP Plus or HIP State Plan Plus POWER Account contributions. Only member rollover dollars can be applied to the tobacco surcharge. Roll over is applied to the member’s new account 121 days following the end of the calendar year benefit period. The amount of leftover funds available for roll over will depend on the member’s contributions to the POWER Account, the balance remaining in the member’s POWER Account, any member debt, and the member’s receipt of recommended preventive care services. For each benefit period, OMPP will determine, based on Centers for Disease Control recommendations, which recommended preventive care services apply to a specific member’s age and gender, as well as the member’s pre-existing conditions. POWER Accounts are designed to encourage preventive care, the appropriate utilization of health care services and personal responsibility. The Contractor shall develop multiple methods of emphasizing to members that responsible use of POWER Account funds, as well as obtaining recommended preventive care services, can lead to a reduced financial burden in the next benefit period. If members are aware that prudent management of their health care expenditures can leave them with available funds at the end of the calendar year benefit period—and that these funds can be used to lower their contribution requirements for the following benefit period— members will be encouraged to make value- and cost- conscious decisions. See Section 7.4.4 for required POWER Account member education responsibilities. The Contractor may collect any member debt from the member portion of roll- over funds determined in accordance with the roll-over calculations detailed in Sections 5.6.2.1 and 5.6.2.2. Under no circumstances shall State roll-over funds be used to pay member debt. In collecting member debt from roll-over funds, the Contractor shall comply with the specific calculations established in the HIP MCE EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK Policies and Procedures Manual.

POWER Account Roll Over. Where a member has funds remaining at the end of the calendar year benefit period, some of the funds remaining in the member’s POWER Account may be rolled over into the next calendar year benefit period for purposes of reducing the member’s required HIP Plus or HIP State Plan Plus POWER Account contributions. Only member rollover dollars can be applied to the tobacco surcharge. Roll over is applied to the member’s new account 121 days following the end of the calendar year benefit period. The amount of leftover funds available for roll over will depend on the member’s contributions to the POWER Account, the balance remaining in the member’s POWER Account, any member debt, and the member’s receipt of recommended preventive care services. For each benefit period, OMPP will determine, based on Centers for Disease Control recommendations, which recommended preventive care services apply to a specific member’s age and gender, as well as the member’s pre-existing conditions. POWER Accounts are designed to encourage preventive care, the appropriate utilization of health care services and personal responsibility. The Contractor shall develop multiple methods of emphasizing to members that responsible use of POWER Account funds, as well as obtaining recommended preventive care services, can lead to a reduced financial burden in the next benefit period. If members are aware that prudent management of their health care expenditures can leave them with available funds at the end of the calendar year benefit period—and that these funds can be used to lower their contribution requirements for the following benefit period— members will be encouraged to make value- and cost- cost-conscious decisions. See Section 7.4.4 for required POWER Account member education responsibilities. The Contractor may collect any member debt from the member portion of roll- over funds determined in accordance with the roll-over calculations detailed in Sections 5.6.2.1 and 5.6.2.2. Under no circumstances shall State roll-over funds be used to pay member debt. In collecting member debt from roll-over funds, the Contractor shall comply with the specific calculations established in the HIP MCE EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK Policies and Procedures Manual.

POWER Account Roll Over. Where a member has funds remaining at the end of the calendar year benefit period, some of the funds remaining in the member’s POWER Account may be rolled over into the next calendar year benefit period for purposes of reducing the member’s required HIP Plus or HIP State Plan Plus POWER Account contributions. Only member rollover dollars can be applied to the tobacco surcharge. Roll over is applied to the member’s new account 121 days following the end of the calendar year benefit period. The amount of leftover funds available for roll over will depend on the member’s contributions to the POWER Account, the balance remaining in the member’s POWER Account, any member debt, and the member’s receipt of recommended preventive care services. For each benefit period, OMPP will determine, based on Centers for Disease Control recommendations, which recommended preventive care services apply to a specific member’s age and gender, as well as the member’s pre-existing conditions. POWER Accounts are designed to encourage preventive care, the appropriate utilization of health care services and personal responsibility. The Contractor shall develop multiple methods of emphasizing to members that responsible use of POWER Account funds, as well as obtaining recommended preventive care services, can lead to a reduced financial burden in the next benefit period. If members are aware that prudent management of their health care expenditures can leave them with available funds at the end of the calendar year benefit period—and that these funds can be used to lower their contribution requirements for the following benefit period— members will be encouraged to make value- and cost- cost-conscious decisions. See Section 7.4.4 for required POWER Account member education responsibilities. The Contractor may collect any member debt from the member portion of roll- roll-over funds determined in accordance with the roll-over calculations detailed in Sections 5.6.2.1 and 5.6.2.2. Under no circumstances shall State roll-over funds be used to pay member debt. In collecting member debt from roll-over funds, the Contractor shall comply with the specific calculations established in the HIP MCE EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK Policies and Procedures Manual.and

POWER Account Roll Over. Where a member has funds remaining at the end of the calendar year benefit period, some of the funds remaining in the member’s POWER Account may be rolled over into the next calendar year benefit period for purposes of reducing the member’s required HIP Plus or HIP State Plan Plus POWER Account contributions. Only member rollover dollars can be applied to the tobacco surcharge. Roll over is applied to the member’s new account 121 days following the end of the calendar year benefit period. The amount of leftover funds available for roll over will depend on the member’s contributions to the POWER Account, the balance remaining in the member’s POWER Account, any member debt, and the member’s receipt of recommended preventive care services. For each benefit period, OMPP will determine, based on Centers for Disease Control recommendations, which recommended preventive care services apply to a specific member’s age and gender, as well as the member’s pre-existing conditions. POWER Accounts are designed to encourage preventive care, the appropriate utilization of health care services and personal responsibility. The Contractor shall develop multiple methods of emphasizing to members that responsible use of POWER Account funds, as well as obtaining recommended preventive care services, can lead to a reduced financial burden in the next benefit period. If members are aware that prudent management of their health care expenditures can leave them with available funds at the end of the calendar year benefit period—and that these funds can be used to lower their contribution EXHIBIT 2.I SCOPE OF WORK – HEALTHY INDIANA PLAN requirements for the following benefit period— members will be encouraged to make value- and cost- cost-conscious decisions. See Section 7.4.4 for required POWER Account member education responsibilities. The Contractor may collect any member debt from the member portion of roll- roll-over funds determined in accordance with the roll-over calculations detailed in Sections 5.6.2.1 and 5.6.2.2. Under no circumstances shall State roll-over funds be used to pay member debt. In collecting member debt from roll-over funds, the Contractor shall comply with the specific calculations established in the HIP MCE EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK Policies and Procedures Manual.and

POWER Account Roll Over. Where If a member has funds remaining is redetermined eligible at the end of the calendar year a benefit period, some of the funds remaining in the member’s POWER Account may be rolled over into the next calendar year benefit period for purposes of reducing the member’s required HIP Plus or HIP State Plan Plus POWER Account contributions. Only member rollover dollars can be applied to contributions in the tobacco surcharge. Roll over is applied to the member’s new account 121 days following the end of the calendar year subsequent benefit period. The amount of leftover funds available for roll over will depend on the member’s contributions to the POWER Account, the balance remaining in the member’s POWER Account, any member debt, and the member’s receipt of recommended preventive care services. For each Each benefit period, OMPP will determine, based on Centers for Disease Control recommendations, which recommended preventive care services apply to a specific member’s age and gender, as well as the member’s pre-pre- existing conditions. POWER Accounts are designed to encourage preventive care, the appropriate utilization of health care services and personal responsibility. The Contractor Contractors shall develop multiple methods of emphasizing to their members that responsible use of POWER Account funds, as well as obtaining recommended preventive care services, can lead to a reduced financial burden in the next benefit period. If members are aware that prudent management of their health care expenditures can leave them with available funds at the end of the calendar year annual benefit period—and that these funds can be used to lower their contribution requirements for the following benefit periodnext year’s contribution— members will be encouraged to make value- and cost- cost-conscious decisions. See Section 7.4.4 for required POWER Account member education responsibilities. The Contractor may collect any member debt from the member portion of roll- roll-over funds determined in accordance with the roll-over calculations detailed in Sections 5.6.2.1 and 5.6.2.2. Under no circumstances shall State roll-over funds be used to pay member debt. In collecting member debt from roll-over funds, the Contractor shall comply with the specific calculations established in the HIP MCE EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK Policies and Procedures Manual.and

POWER Account Roll Over. Where a member has funds remaining at the end of the calendar year benefit period, some of the funds remaining in the member’s POWER Account may be rolled over into the next calendar year benefit period for purposes of reducing the member’s required HIP Plus or HIP State Plan Plus POWER Account contributions. Only member rollover dollars can be applied to the tobacco surcharge. Roll over is applied to the member’s new account 121 days following the end of the calendar year benefit period. The amount of leftover funds available for roll over will depend on the member’s contributions to the POWER Account, the balance remaining in the member’s POWER Account, any member debt, and the member’s receipt of recommended preventive care services. For each benefit period, OMPP will determine, based on Centers for Disease Control recommendations, which recommended preventive care services apply to a specific member’s age and gender, as well as the member’s pre-existing conditions. POWER Accounts are designed to encourage preventive care, the appropriate utilization of health care services and personal responsibility. The Contractor shall develop multiple methods of emphasizing to members that responsible use of POWER Account funds, as well as obtaining recommended preventive care services, can lead to a reduced financial burden in the next benefit period. If members are aware that prudent management of their health care expenditures can leave them with available funds at the end of the calendar year benefit period—and that these funds can be used to lower their contribution EXHIBIT 2.I SCOPE OF WORK – HEALHTY INDIANA PLAN requirements for the following benefit period— —members will be encouraged to make value- and cost- cost-conscious decisions. See Section 7.4.4 for required POWER Account member education responsibilities. The Contractor may collect any member debt from the member portion of roll- roll-over funds determined in accordance with the roll-over calculations detailed in Sections 5.6.2.1 and 5.6.2.2. Under no circumstances shall State roll-over funds be used to pay member debt. In collecting member debt from roll-over funds, the Contractor shall comply with the specific calculations established in the HIP MCE EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK Policies and Procedures Manual.and

POWER Account Roll Over. Where a member has funds remaining at the end of the calendar year benefit period, some of the funds remaining in the member’s POWER Account may be rolled over into the next calendar year benefit period for purposes of reducing the member’s required HIP Plus or HIP State Plan Plus POWER Account contributions. Only member rollover dollars can be applied to the tobacco surcharge. Roll over is applied to the member’s new account 121 days following the end of the calendar year benefit period. The amount of leftover funds available for roll over will depend on the member’s contributions to the POWER Account, the balance remaining in the member’s POWER Account, any member debt, and the member’s receipt of recommended preventive care services. For each benefit period, OMPP will determine, based on Centers for Disease Control recommendations, which recommended preventive care services apply to a specific member’s age and gender, as well as the member’s pre-existing conditions. POWER Accounts are designed to encourage preventive care, the appropriate utilization of health care services and personal responsibility. The Contractor shall develop multiple methods of emphasizing to members that responsible use of POWER Account funds, as well as obtaining recommended preventive care services, can lead to a reduced financial burden in the next benefit period. If members are aware that prudent management of their health care expenditures can leave them with available funds at the end of the calendar year benefit period—and that these funds can be used to lower their contribution EXHIBIT 2.I SCOPE OF WORK – HEALTHY INDIANA PLAN requirements for the following benefit period— —members will be encouraged to make value- and cost- cost-conscious decisions. See Section 7.4.4 for required POWER Account member education responsibilities. The Contractor may collect any member debt from the member portion of roll- roll-over funds determined in accordance with the roll-over calculations detailed in Sections 5.6.2.1 and 5.6.2.2. Under no circumstances shall State roll-over funds be used to pay member debt. In collecting member debt from roll-over funds, the Contractor shall comply with the specific calculations established in the HIP MCE EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK Policies and Procedures Manual.and